Acute respiratory distress following the inhalation of an aerosol upholstery cleaner: the importance of reporting from the Emergency Department

We are exposed to many potential chemical hazards especially at work and this case report highlights the importance of clear labelling on products. Often, in Emergency Departments, the potential irritant is brought in with the patient and, out of hours, may sometimes be the only source of information about the potential hazard. The UK National […]

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Ruptured abdominal aortic aneurysm presenting as testicular pain

Ruptured aortic aneurysm can present in many a varied manner and this case describes one particularly unusual presentation. Very few cases have been reported in the literature of testicular pain being the presenting feature of ruptured abdominal aortic aneurysm. http://casereports.bmj.com/content/2009/bcr.08.2008.0614.full?sid=c103f5b2-d8fd-4963-b368-fb74a30616e7 […]

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Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease

This case describes a patient with a complex medical history and unstable INR on warfarin. The authors describe the likely cause of the instability and demonstrate the use of oral supplementation with Vitamin K. We have all experienced patients with unstable INR (admittedly not usually as complex as this patient) and that makes this case […]

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